The pattern of it

Very tired. Not the kind of tired a nap fixes. I slept nine hours and woke feeling as though I had been awake all night.

A hard month at work with nausea and twelve-hour shifts.

Reflux again. I slept propped up on three pillows and woke at two anyway. I have an appointment on Thursday and I am going to actually mention it this time rather than deciding it is not worth bothering anyone about.

Getting on with it.